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Provider 1366408379

NPI: 1366408379Share
Active Billing Period:2018-01→2024-12(73 months)

Total Paid

$12.6M

$12,641,946

Total Claims

109K

Beneficiaries

83K

1.3 claims/patient

Avg Cost/Claim

$116

Monthly Spending Trend

Yearly Spending

2018
$2K
+9745%
2019
$184K
-99%
2020
$1K
+268%
2021
$6K
+8284%
2022
$462K
+1613%
2023
$7.9M
-48%
2024
$4.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99469 (Subsequent intensive care, very low birth weight infant)) accounts for 37% of total spending.

99469Normal range

Subsequent intensive care, very low birth weight infant

$4.7M

15K claims · 36.9%

Your Cost: $308.79/claim|Median: $293.45
1.1× median
99472Normal range

Subsequent pediatric critical care, per day, age 2-5

$1.4M

3,966 claims · 11.5%

Your Cost: $365.13/claim|Median: $307.98
1.2× median
99239Top 10%

Hospital discharge day management, more than 30 minutes

$1.1M

14K claims · 9.0%

Your Cost: $84.09/claim|Median: $43.85
1.9× median
92650Top 25%

$1.1M

18K claims · 9.0%

Your Cost: $61.53/claim|Median: $31.90
1.9× median
99222Top 5%

Initial hospital care, per day, moderate complexity

$835K

6,848 claims · 6.6%

Your Cost: $121.96/claim|Median: $51.25
2.4× median
99232Top 5%

Subsequent hospital care, per day, moderate complexity

$649K

10K claims · 5.1%

Your Cost: $63.28/claim|Median: $23.99
2.6× median
99214Top 25%

Office/outpatient visit, est. patient, mod-high complexity

$457K

6,064 claims · 3.6%

Your Cost: $75.34/claim|Median: $53.41
1.4× median
99464Normal range

$396K

6,380 claims · 3.1%

Your Cost: $62.03/claim|Median: $59.94
1.0× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$316K

2,491 claims · 2.5%

Your Cost: $126.77/claim|Median: $54.68
2.3× median
99215Normal range

Office/outpatient visit, high complexity

$310K

2,908 claims · 2.5%

Your Cost: $106.75/claim|Median: $74.09
1.4× median
99291Top 10%

Critical care, first 30-74 minutes

$184K

837 claims · 1.5%

Your Cost: $219.67/claim|Median: $101.24
2.2× median
99233Top 5%

Subsequent hospital care, per day, high complexity

$182K

1,611 claims · 1.4%

Your Cost: $112.93/claim|Median: $35.30
3.2× median
99468Top 25%

$133K

157 claims · 1.1%

Your Cost: $846.63/claim|Median: $679.18
1.2× median
99213Top 25%

Office/outpatient visit, est. patient, low-mod complexity

$119K

2,130 claims · 0.9%

Your Cost: $55.88/claim|Median: $37.81
1.5× median
99292Top 10%

$117K

833 claims · 0.9%

Your Cost: $140.81/claim|Median: $57.64
2.4× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$101K

1,468 claims · 0.8%

Your Cost: $68.84/claim|Median: $84.03
0.8× median
99223Top 10%

Initial hospital care, per day, high complexity

$66K

424 claims · 0.5%

Your Cost: $156.34/claim|Median: $67.32
2.3× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$63K

758 claims · 0.5%

Your Cost: $82.61/claim|Median: $98.15
0.8× median
99462Normal range

$30K

1,097 claims · 0.2%

Your Cost: $27.23/claim|Median: $27.49
1.0× median
92586Normal range

$29K

2,312 claims · 0.2%

Your Cost: $12.76/claim|Median: $51.18
0.2× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$27K

433 claims · 0.2%

Your Cost: $63.04/claim|Median: $62.48
1.0× median
99221Top 25%

Initial hospital care, straightforward/low

$26K

380 claims · 0.2%

Your Cost: $68.49/claim|Median: $39.96
1.7× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$25K

3,176 claims · 0.2%

Your Cost: $7.80/claim|Median: $4.71
1.7× median
99283Normal range

Emergency dept visit, moderate complexity

$21K

373 claims · 0.2%

Your Cost: $57.28/claim|Median: $42.48
1.3× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$21K

192 claims · 0.2%

Your Cost: $107.65/claim|Median: $111.09
1.0× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$20K

197 claims · 0.2%

Your Cost: $100.87/claim|Median: $121.58
0.8× median
99231Top 25%

Subsequent hospital care, per day, low complexity

$20K

677 claims · 0.2%

Your Cost: $29.32/claim|Median: $16.77
1.7× median
99243Top 5%

Office or other outpatient consultation, low complexity

$15K

97 claims · 0.1%

Your Cost: $152.23/claim|Median: $82.43
1.8× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$15K

2,615 claims · 0.1%

Your Cost: $5.62/claim|Median: $9.70
0.6× median
90670Top 1%

$12K

52 claims · 0.1%

Your Cost: $228.91/claim|Median: $5.94
38.5× median
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